Centro De Salud De La Comunidad De San Ysidro, Inc.

Specialty details in registry · Chula Vista, CA

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At a glance

480 4Th Ave Ste 102&401, Chula Vista, CA 91910-4410

NPPES record updated Sep 14, 2026. Public records can lag behind changes at a practice.

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Practice location

480 4Th Ave Ste 102&401
Chula Vista, CA 91910-4410
Professional details: NPI, taxonomy & registry record
NPI1124939665
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QF0400X
Enumeration date
Sep 14, 2026
Record updated
Sep 14, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QF0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

480 4Th Ave Ste 102&401
Chula Vista, CA 91910-4410
Phone
(619) 662-4100
Mailing address
1601 PRECISION PARK LN

SAN DIEGO, CA 921731345
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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